James Blakely Gordon, MRC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

#4691 Issued in SC

Practice address

1821 Pickens St
Columbia, SC 29201-2630

Phone

(803) 929-1234

Fax

(803) 929-1247

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669439352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COLONIAL DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292032219",
            "telephone_number": "803-898-1555",
            "fax_number": "803-898-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 PICKENS ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012630",
            "telephone_number": "803-929-1234",
            "fax_number": "803-929-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JAMES",
        "middle_name": "BLAKELY",
        "name_prefix": "Mr.",
        "credential": "MRC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "#4691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terence Goodwin, RBT
• Ashley Nicole Goolsby, CRNA
• Karen Goon-Johnson
• Tu-Anh Nguyen Gopani, OD
• Emma Catherine Gordon, MA, LPC
• Katherine E. Gordon, M.D
• Kimberly Gordon, MSW
• Leanna Gordon, LMSW
• Lindsey Marie Gordon, DO
• Lisa Gordon, FNP

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.